| 01/04/2012 |
| 06:12:55 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| TAKACS, JOANNA, | 3Q-005152 | R | 5.00 | 4147********6577 | 09533D | 01/04/12 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 0 | MasterCard | 0.00 |
| 1 | Visa | 5.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 5.00 |